Prevalence of Urinary Incontinence and Its Association With Multimorbidity in Women Aged 50 Years or Older: A Population-Based Study
Prevalence of Urinary Incontinence and Its Association With Multimorbidity in Women Aged 50 Years or Older: A Population-Based Study
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DOI：
10.1002/nau.22679
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发表时间：
2016-01-01
影响因子：
2
通讯作者：
Pinto-Neto, Aarao M.
中科院分区：
文献类型：
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作者：
Reigota, Renata B.;Pedro, Adriana Orcesi;Pinto-Neto, Aarao M.
目的：评估 50 岁或以上巴西女性尿失禁的患病率和相关危险因素，及其与多种疾病的关系。方法：这是对在巴西圣保罗州坎皮纳斯市进行的一项横断面人口研究的二次分析，该研究纳入了 622 名 50 岁或以上的女性。因变量是尿失禁（UI），定义为任何尿失禁的症状。自变量是社会人口统计数据、健康相关习惯、健康自我认知和功能能力评估。使用卡方检验和泊松回归进行统计分析。结果：女性的平均年龄为 64 岁。52.3% 的女性患有 UI：混合型 UI (26.6%)、紧急型 UI (13.2%) 和压力型 UI (12.4%)。与 UI 患病率较高相关的因素包括高血压（OR 1.21，CI 1：01-1：47，P = 0.004）、骨关节炎（OR 1.24，CI 1：03-1：50，P = 0.022）、体力活动 >= 3 天/周（OR 1.21，CI 1：01-1：44，P = 0.039），访谈时BMI≥25（OR 1.25，CI 1：04-1：49，P = 0.018），对健康的负面自我认知（OR 1.23，CI 1：06-1：44 P = 0.007）和日常生活活动受限（PR 1：56 CI 1：16-2：10， P = 0.004）。结论：UI患病率较高。混合性失禁是最常见的 UI 类型。许多相关因素是可以预防或改善的。因此，针对这些综合因素的卫生政策可以降低其患病率，并可能降低 UI 的患病率。 (C) 2014 年 Wiley 期刊公司。
Aims: To evaluate the prevalence and associated risk factors for urinary incontinence, as well as its association with multimorbidity among Brazilian women aged 50 or over. Methods: This was a secondary analysis of a cross-sectional population-based study including 622 women 50 years or older, conducted in the city of Campinas-SP-Brazil. The dependent variable was Urinary Incontinence (UI), defined as any complaint of urine loss. The independent variables were sociodemographic data, health-related habits, self-perception of health and functional capacity evaluation. Statistical analysis was carried out using the Chi-square test and Poisson regression. Results: The mean age of the women was 64. UI was prevalent in 52.3% of these women: Mixed UI (26.6%), Urge UI (13.2%) and Stress UI (12.4%). Factors associated with a higher prevalence of UI were hypertension (OR 1.21, CI 1: 01-1: 47, P = 0.004), osteoarthritis (OR 1.24, CI 1: 03-1: 50, P = 0.022), physical activity >= 3 days/week (OR 1.21, CI 1: 01-1: 44, P = 0.039), BMI >= 25 at the time of the interview (OR 1.25, CI 1: 04-1: 49, P = 0.018), negative self-perception of health (OR 1.23, CI 1: 06-1: 44 P = 0.007) and limitations in daily living activities (PR 1: 56 CI 1: 16-2: 10, P = 0.004). Conclusions: The prevalence of UI was high. Mixed incontinence was the most frequent type of UI. Many associated factors can be prevented or improved. Thus, health policies targeted at these combined factors could reduce their prevalence rate and possibly decrease the prevalence of UI. (C) 2014 Wiley Periodicals, Inc.